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Open accurate reduction for irreducible mallet fractures through a new pulp traction technique with primary tendon repair

Authors
 Ho-Jung Kang  ;  Su-Keon Lee 
Citation
 JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, Vol.46(6) : 438-443, 2012 
Journal Title
 JOURNAL OF PLASTIC SURGERY AND HAND SURGERY 
ISSN
 2000-656X 
Issue Date
2012
MeSH
Adolescent ; Adult ; Cohort Studies ; Female ; Finger Injuries/diagnostic imaging ; Finger Injuries/surgery* ; Finger Joint/diagnostic imaging ; Finger Joint/surgery ; Fracture Fixation, Internal/methods* ; Fracture Healing/physiology ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery* ; Humans ; Male ; Middle Aged ; Radiography ; Range of Motion, Articular/physiology ; Recovery of Function ; Retrospective Studies ; Risk Assessment ; Tendon Injuries/diagnostic imaging ; Tendon Injuries/surgery* ; Tendon Transfer/methods* ; Traction/methods ; Treatment Outcome ; Young Adult
Keywords
Irreducible mallet fracture ; open reduction ; pulp traction ; primary tendon repair ; T-shaped incision
Abstract
Sixteen patients with bony mallet fingers were treated by a new technique of open reduction through a T-shaped dorsal incision and oblique wire fixation via pulp traction with additional primary extensor repair. Surgical indications included fractures with intra-articular involvement over 1/3 of the articular surface, distal phalanx subluxation, and displacement greater than 3 mm irreducible by extension block pinning. The cases were analysed prospectively for a mean follow-up period of 12 months. The results were evaluated using Crawford's criteria. Eleven cases were evaluated as excellent, three cases as good, and two cases as fair. Complications included three cases with transient nail deformity, two cases with flexion limitation of 5° and 10°, and three cases with extension lag between 5°-10°. This new method of accurate reduction achieves good clinical outcomes, with comparatively less complications in mallet fractures irreducible to closed extension block reduction.
Full Text
http://informahealthcare.com/doi/abs/10.3109/2000656X.2012.727822
DOI
23157506
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Lee, Su Keon(이수건)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91061
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